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Pushing's Disease Case Study Essay

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Case History Background Information Sara is a 25-year-old college graduate from an average family she was very active athletically in high school yet could never seem to control her weight especially in her upper torso. Sara seemed to have an average high school lifestyle with ample friends, and above average grades, however she only had one boyfriend throughout high school and that was a very brief relationship. Sara's friends would describe her as bright, intelligent, attractive, and having a great sense of humor accordingly, everyone enjoyed spending time with her. Sara joined the Peace Corps after graduation due to previous trips where she enjoyed the region and learned some of the language and after interviewing was assigned to …show more content…

This excessive release of cortisol can keep the body in a state of hyperactive awareness, as it believes that there is something going on that is overtaxing the individual's resources to deal with the situation there for the body is staying in a heightened state of awareness. Individuals with Cushing's disease tend to carry excessive weight especially in the upper body, face, and abdomen which is often stress in itself especially being a young person where you are judged by your appearance and this particular weight gain is very upsetting. Some other symptoms of Cushing's disease include fatigue, anxiety, depression, and muscle fatigue according to Rothman (2014). Feeling fatigued for no apparent reason, having muscle fatigue that seem to be like flu symptoms, and anxiety can really add stress to an already stressful situation as they leave a person feeling more and more helpless with every symptom that

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Informing the client about available options regarding her health care, (Army) benefits, Medicare, food stamps, and how she is utilizing community resources. I would encourage that Mrs. Carla Washburn stay in contact with friends and family members to form supports that can assist her. She has very strong family values and spiritual guidance from her traditions. It is recommended that she find a home health provider or companion care resource that helps her with household tasks, transportation to doctor’s appointments, grocery stores, and church activities. Have a visiting nurse check in once a week to check how she is doing.

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During her service in the army she vividly describes several specific instance that caused her psychological and physical trauma, namely a head injury. As noted above since then she has experienced nightmares, flashbacks and hypersensitive state. She notes that her worries and anxiety is temporally alleviated when she is engaged with her daughter. She denies alcohol abuse but admits to two to three drinks a week. She denies drug usage and sexual

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An example of a disease that results from an imbalance in a negative feedback mechanism is Cushing’s Syndrome/disease. Cushing’s Syndrome occurs when our body produces high levels of a glucocorticoid hormone called cortisol. When produced at the ideal level, cortisol is very beneficial to our body for it helps regulate blood pressure and the immune system. A normal production of cortisol begins when a hormone (produced in the hypothalamus) called corticotropin-releasing hormone (CRH) stimulates cells in the pituitary gland that make the hormone called adrenocorticotropic hormone (ACTH). Adrenocorticotropic is then carried through the bloodstream to the adrenal gland where cortisol is produced.

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Karta is a 12 year old African American girl, who has experienced a long history of trauma. She was referred to me by her school social worker Ms. Johnson who reports that she has academic problems, severe inattention, hyperactivity, physical violent tantrums and is disrespectful to her peers and teachers. Karta was raised in a single parent household during the first few years of her life. Karta’s father died in a car accident before she was born so she never got a chance to meet him. Karta’s mother Michelle became depressed and turned to alcohol to cope with her pain.

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He doesn’t have an extensive case of this disorder but he does take medication to treat it. I prescribed him dexamethasone when he was first diagnosed with this disorder fifteen years ago. Dexamethasone is a corticosteroid, which is usually produced by the adrenal glands but not in Elliot’s case. If steroids like dexamethasone are used frequently and for a long duration, this could be a cause to Cushing’s disease. This steroid could also compensate for low cortisol levels caused by the diabetes.

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Often called the fight or flight reflex, stress has been known to save people’s lives, whether it be on a battlefield or some dangerous situation back home. Too much stress ultimately leads to health problems, but too little stress isn’t good for us either. When we go too long without a sharp stimulating response, the body loses its ability to handle stress properly (Tom Scheve, 2009). Somewhere between too much, and too little stress can actually be good for you, helping you perform under pressure. It is when someone cannot turn off that fight or flight feeling that it begins to show its negative effects.

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Encouragement and support are useful when addressing her depression and low self-esteem. Teaching her ways that she can improve and help herself, should be rewarding and satisfying for Marietta. The more involved she can be in her own story, the better. The chances of social justice issues getting involved in this case are strong.

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Cushing’s Syndrome is a disease that involves an excess of the Adrenocorticotropic hormone (ACTH) from the pituitary gland, most likely because of cancerous cells (Helm). This causes an excess of cortisol to be made in the adrenal gland which creates the symptoms known as Cushing’s Syndrome. This can also be caused by a tumor on the adrenal gland which causes an overproduction of cortisol (Helm). Cortisol is a steroid hormone which helps regulate blood sugar as well as aid in the metabolism of protein, fat, and carbohydrates.

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An oversupply of ACTH, such as that produced by this type of tumor, can cause Cushing's disease (one type of Cushing's

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